"三镜"微创治疗胆总管结石的临床研究

目的探索胆总管结石的"三镜"微创治疗方法。方法对52例胆总管结石患者根据不同的胆管结石状况而采取"一镜"、"二镜"或"三镜"联合的不同治疗方式进行取石。结果26例经"一镜"治疗者,成功18例,成功率69.0%;15例经"二镜"治疗,成功12例,成功率80.0%;21例经"三镜"治疗,术后无并发症,成功率100%。结论腹腔镜、胆道镜和十二指肠镜的胆总管结石治疗均具微创性,"三镜"联合方式可弥补"一镜"和"二镜"治疗方式的不足,据胆管结石的不同状况而适时选取不同的三镜联合治疗方式,均可达到取净结石、降低手术风险、减少术后并发症和降低住院费用的目的。

Clinical study of the minimally invasive treatment for choledocholithiasis with "Three Mirrors"

Objective To explore the minimally invasiv e treatment for choledocholithiasis with "Three Mirrors".Methods "One Mirror", "Two Mirrors" or "Three Mirrors Joint" treatment for the choledocholithiasis were performed in 52 cases of choledocholithiasis accor ding to different conditions of patients.Results Twenty s ix cases received "One Mirror" treatment,18 succeed,with the success rate of 6 9.0%.Fifteen cases received "Two Mirrors" treatment,12 succeed,with the succes s rate of 80.0%.Twenty one cases received "Three Mirrors",with the success rat e of 100%,no complications after operation.Conclusion The treatment of choledocholithiasis with laparoscopic,choledochoscopy and duodenos copy are all minimally invasive."Three Mirrors Joint" treatment can overcome t he shortcomings of "One Mirror" or "Two Mirrors" treatment,but it cannot com pletely replace the latters. To choose specific treatment of "Three Mirrors" a ccording to different conditions of choletethiasis can achieve net stone,less ri sks of surgery,less postoperative complications and hospital cost.